Evidence map›Paper›PMID 30450263›Full record

ArticleJournal of pathology informatics2018

Validation of Remote Digital Frozen Sections for Cancer and Transplant Intraoperative Services.

Luca Cima, Matteo Brunelli, Anil Parwani, Ilaria Girolami, Andrea Ciangherotti, Giulio Riva, Luca Novelli, Francesca Vanzo, Alessandro Sorio, Vito Cirielli and 7 more

Open access · goldAbstract read
In one paragraph

Article in Journal of pathology informatics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
3.9field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 42 citations in OpenAlex.

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  19. Commentary: The Digital Fate of Glomeruli in Renal Biopsy.Journal of pathology informatics · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 9 institutions in 3 countries.

Luca CimaDepartment of Diagnostics and Public Health, Anatomic Pathology Unit, University and Hospital Trust of Verona, Verona, Italy.
Matteo BrunelliDepartment of Diagnostics and Public Health, Anatomic Pathology Unit, University and Hospital Trust of Verona, Verona, Italy.
Anil ParwaniDepartment of Pathology, Ohio State University, Columbus, OH, USA.
Ilaria GirolamiDepartment of Diagnostics and Public Health, Anatomic Pathology Unit, University and Hospital Trust of Verona, Verona, Italy.
Andrea CiangherottiDepartment of Surgical Science, University and Hospital Trust of Verona, Verona, Italy.
Giulio RivaDepartment of Diagnostics and Public Health, Anatomic Pathology Unit, University and Hospital Trust of Verona, Verona, Italy.
Luca NovelliDepartment of Pathology, Anatomic Pathology Unit, Careggi University Hospital, Firenze, Italy.
Francesca VanzoVeneto's Research Center for eHealth Innovation, Veneto, Italy.
Alessandro SorioDepartment of Diagnostics and Public Health, Anatomic Pathology Unit, University and Hospital Trust of Verona, Verona, Italy.
Vito CirielliDepartment of Diagnostics and Public Health, Forensic Pathology Unit, University and Hospital Trust of Verona, Verona, Italy.
Mattia BarbareschiDepartment of Laboratory Medicine, Anatomic Pathology Unit, S. Chiara Hospital, Trento, Italy.
Antonietta D'ErricoDepartment of Specialised, Experimental and Diagnostic Medicine, Anatomic Pathology Unit, S. Orsola-Malpighi University Hospital of Bologna, Bologna, Italy.
Aldo ScarpaDepartment of Diagnostics and Public Health, Anatomic Pathology Unit, University and Hospital Trust of Verona, Verona, Italy.
Chiara BovoMedical Direction, University and Hospital Trust of Verona, Verona, Italy.
Filippo FraggettaDepartment of Pathology, Anatomic Pathology Unit, Cannizzaro Hospital, Catania, Italy.
Liron PantanowitzDepartment of Pathology, University of Pittsburgh Medical Center, PA, Pennsylvania, USA.
Albino EccherDepartment of Diagnostics and Public Health, Anatomic Pathology Unit, University and Hospital Trust of Verona, Verona, Italy.
University of Verona · ITUniversity Hospital Foundation · CAAzienda Ospedaliero-Universitaria Careggi · ITeHealth Initiative · USOspedale Cannizzaro · ITOspedale Santa Chiara · ITPoliclinico S.Orsola-Malpighi · ITThe Ohio State University · USUniversity of Pittsburgh Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWhole-slide imaging (WSI) technology can be used for primary diagnosis and consultation, including intraoperative (IO) frozen section (FS). We aimed to implement and validate a digital system for the FS evaluation of cancer and transplant specimens following recommendations of the College of American Pathologists. MATERIALS AND

methodsFS cases were routinely scanned at ×20 employing the "Navigo" scanner system. IO diagnoses using glass versus digital slides after a 3-week washout period were recorded. Intraobserver concordance was evaluated using accuracy rate and kappa statistics. Feasibility of WSI diagnoses was assessed by the way of sensitivity, specificity, as well as positive and negative predictive values. Participants also completed a survey denoting scan time, time spent viewing cases, preference for glass versus WSI, image quality, interface experience, and any problems encountered.

resultsOf the 125 cases submitted, 121 (436 slides) were successfully scanned including 93 oncological and 28 donor-organ FS biopsies. Four cases were excluded because of failed digitalization due to scanning problems or sample preparation artifacts. Full agreement between glass and digital-slide diagnosis was obtained in 90 of 93 (97%, κ = 0.96) oncology and in 24 of 28 (86%, κ = 0.91) transplant cases. There were two major and one minor discrepancy for cancer cases (sensitivity 100%, specificity 96%) and two major and two minor disagreements for transplant cases (sensitivity 96%, specificity 75%). Average scan and viewing/reporting time were 12 and 3 min for cancer cases, compared to 18 and 5 min for transplant cases. A high diagnostic comfort level among pathologists emerged from the survey.

conclusionsThese data demonstrate that the "Navigo" digital WSI system can reliably support an IO FS service involving complicated cancer and transplant cases.

Indexed as

Digital pathologyfrozen sectiontransplantvalidationwhole-slide imaging

Identifiers

PMID30450263
PMCPMC6187937
OpenAlexW2897533498

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.